AAPC Coder Complete provides all the coding and reimbursement tools needed for inpatient coders, outpatient coders and CDI experts. Quickly view the OPPS fee schedules for freestanding ASCs and hospital based outpatient services in one place. For each CPT® code, you can identify the applicable modifiers, status indicators and payment indicators. For procedures that require devices, you can view if there is a credit adjustment policy for the device. Avoid bundling and determine proper modifier use by using the Medicare OPPS CCI checker for up to 25 codes at one time. The cross-reference tools allow you to forward and backward map CPT® to ICD-9-CM Volume 1 and 3, ICD-9-CM Volume 1 to ICD-10-CM and ICD-9-CM Volume 1 to the appropriate DRG options. Easily identity the DRG options, including CC and MCC, for each ICD-9-CM Volume 1 code.

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APC look up provides necessary detail on one page including long descriptor, payment and coverage info and more.

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CPT Assistant

CPT® Assistant is the official word from the AMA on proper CPT® code usage. AAPC Coder's Code Connect add-on allows you to search all CPT® Assistant articles from 1990 to present by CPT® code to narrow the options to only related articles for quick coding guidance.

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Coding Clinic

The HCPCS Coding Clinic delivers the official guidance published quarterly by the American Hospital Association (AHA) Central Office on correct HCPCS level II code usage. Each issue offers consistent and accurate advice for the proper use of HCPCS and includes information on HCPCS reporting for hospitals HCPCS Level 1 (CPT®) and Level II codes, the latest code assignments from emerging technologies, and real examples.

CPT 15823, Under Other Repair (Closure) Procedures on the Integumentary System

The Current Procedural Terminology (CPT) code 15823 as maintained by American Medical Association, is a medical procedural code under the range - Other Repair (Closure) Procedures on the Integumentary System.

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Although you may not think you get paid for it, it’s included in the payment for surgery. In July 2017, the Centers for Medicare & Medicaid Services (CMS) began requiring medical offices with 10... [ Read More ]

The July 2016 update to the Outpatient Prospective Payment System (OPPS) includes key changes to, and billing instructions for, various payment policies, as indicated in the 2016 OPPS final rule. Re... [ Read More ]

The term “blephoraplasty,” precisely defined, “most often means the removal of excess eyelid skin, some orbicularis muscle, and orbital fat,” according to CPT Assistant (May 2004). Blepharopla... [ Read More ]

For Exam counting: For EPF, we need 2-4, Detailed: 5-7, and Comprehensive: 8 or more body/organ systems. Must we have 2 points at least per body/organ system for 1995 guidelines? ie shouldn't there... [ Read More ]

FOR ENT: E&M note is: Detailed history, 12 systems/organs or more from 1997 guidelines for exam (detailed) , and Moderate decision making for a new patient would be a 99203 or 99204? and which E... [ Read More ]

I am looking for any guidance on billing for AWV done via telephone only. I have seen some info that CMS loosened the requirements during the Covid PHE to allow AWV via audio/visual, but nothing speci... [ Read More ]

We have some recent denials back from NGS for 64721. It is in a postop of 64721, done on the opposite side as the global procedure. Would you bill with 58 or 79? They are denying the 79? So, 64721-LT... [ Read More ]

Hello,
My doctors are from New York for global deliveries I use diagnosis O80 and outcome of delivery and gestational weeks, and for c-sections O82 and outcome of delivery and gestational deliveries t... [ Read More ]

I've been getting denials for 77338 with Novitas stating that payment is denied when performed by this type of provider. Started with April DOS, and we haven't changed anything with our providers thi... [ Read More ]

Can anyone give me an authoritative guidance on whether you "must" have the location of the provider and the location of the patient documented in the medical record for Telehealth. Thank Yo... [ Read More ]

We are a Rural Health Care clinic and our physician is going to see patients in the nursing home facility. What rev codes should we be using and should we be using the cpt codes 99304-99310? Someone h... [ Read More ]